| NPI | 1790361863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-23-67976) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 770) |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2024-04-16 |